Stephan R Myers, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD050027L Issued in PA

Practice address

2603 Keiser Blvd
Suite 104
Wyomissing, PA 19610-3341

Phone

(484) 628-3150

Fax

(484) 628-3139

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenixville Clinic Company LLC

  • Family Medicine Physician
  • Phoenixville, PA
  • NPI 1891866182

  Surgery

  Medicare reassignment NPD
• Reading Hospital

  • Family Medicine Physician
  • West Reading, PA
  • NPI 1194883306
  Medicare reassignment NPD
• STC Pediatrics LLC

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Philadelphia, PA
  • NPI 1144864547
  Medicare reassignment NPD
• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Phoenixville Clinic Company LLC

  • Neurology Physician
  • Phoenixville, PA
  • NPI 1275173957
  NPD
• Phoenixville Clinic Company LLC

  • Vascular Surgery Physician
  • Limerick, PA
  • NPI 1790746345
  NPD
• Reading Hospital

  • Community/Retail Pharmacy
  • Limerick, PA
  • NPI 1487468914
  NPD
• STC Pediatrics LLC

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1184269888
  NPD
• STC Pediatrics LLC

  • Ophthalmology Physician
  • Newtown, PA
  • NPI 1548141997
  NPD
• Tower Health Medical Group

  • Pulmonary Disease Physician
  • West Reading, PA
  • NPI 1801148424
  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• Reading Professional Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Reading, PA
  • NPI 1457391625
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1225045883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KEISER BLVD",
            "address_2": "SUITE 104",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "484-628-3150",
            "fax_number": "484-628-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "STEPHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-04-8912",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD050027L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102678170",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Murnane
• Alyssa Murphy
• Rhonda L Murphy, PA-C
• Arla Jane Murray, OT
• Caitlin A Murray, PT, DPT
• Nabil S. Muallem, M.D.
• Riley Nabozny
• Rebecca Nace, RBT
• Nader Rahmanian MD LLC
• Mehul Harish Nagarsheth, MD

• Surgery Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.